Network Health Armor (PPO)
Wisconsin Medicare Advantage Plan (2024 Plan)
Monthly Premium

Additional Coverage
Overall Government Star Rating
5.0Ready to Enroll Online?
Plan Overview
Network Health Armor (PPO) is a Medicare Advantage Plan Without Prescription Drugs, which is available in Wisconsin and offered by the health insurance company Network Health Medicare Advantage Plans. This plan’s network type is PPO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Network Health Armor (PPO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $4,900 In and Out-of-network $4,900 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Network Health Armor (PPO) are defined below.
Additional Benefits and Coverage
Network Health Armor (PPO) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Network Health Armor (PPO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Network Health Armor (PPO) includes coverage for the following additional benefits:
Other benefits
Comparing the Quality Score of Network Health Armor (PPO) to Other Plans in Wisconsin
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, Network Health Armor (PPO) received an overall government quality rating of 5.0 stars out of 5 stars.
Network Health Armor (PPO) performed better than Wisconsin’s State average overall quality score of 4.3 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Network Health Armor (PPO) received 5 stars for its health plan quality score which is better than the Wisconsin State average health plan quality score of 4.3 stars.
Plan Benefits and Coverage Details
$4,900 In-network
Medical Benefits
Doctor Services
Out-of-network: $0 copay
Out-of-network: $40 copay per visit
Tests, labs, & imaging
Out-of-network: $20-40 copay
Out-of-network: $0-20 copay
Out-of-network: $40-125 copay
Out-of-network: $30 copay
Hospital Services
$0 per day for days 7 through 90
Out-of-network: $295 per day for days 1 through 6
$0 per day for days 7 and beyond
Out-of-network: $275 copay per visit
Skilled nursing facility
$203 per day for days 21 through 45
$0 per day for days 46 through 100
Out-of-network: $0 per day for days 1 through 20
$203 per day for days 21 through 45
$0 per day for days 46 through 100
Preventive services
Out-of-network: $0 copay
Ambulance
Out-of-network: $300 copay
Therapy services
Out-of-network: $30 copay
Out-of-network: $30 copay
Mental health services
Out-of-network: $20 copay
Out-of-network: $20 copay
Out-of-network: $20 copay
Out-of-network: $20 copay
Opioid treatment services
Other services
Out-of-network: 0-20% coinsurance per item
Out-of-network: 0-20% coinsurance per item
Out-of-network: $0-10 copay per item
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
Extra Benefits
Hearing
Out-of-network: $40 copay
Out-of-network: $40 copay
Out-of-network: $495-1,695 copay
Preventive Dental
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Comprehensive dental
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Vision
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
When Can I Sign Up for Medicare?
Enter your birthday month and year to learn when you can sign up for different Medicare plan options.
Speak with a Licensed Insurance Agent
Mon-Fri: 8am - 11pm ET
Sat-Sun: 8am - 11pm ET
- Medicare Advantage Plans
- Medicare Prescription Drug Plans
- Medicare Supplement Insurance Plans
No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.
Best Wisconsin Medicare Advantage Health Insurance Companies for 2024
In this article we rank Wisconsin Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
New Wisconsin Medicare Advantage Health Insurance Companies for 2024
The Medicare landscape in Wisconsin is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Wisconsin.